| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.50 | $116.14 | $136.66 | |
Aetna
| Professional | $101.65 | $116.16 | $141.84 | |
Aetna
| Professional | 25 | $26.28 | $26.28 | $147.68 |
Anthem BCBS
| Professional | $1.00 | $129.72 | $157.43 | |
Cigna
| Professional | $104.70 | $233.39 | $342.88 | |
Hometown Health
| Professional | $0.80 | $130.83 | $198.63 | |
Hometown Health
| Professional | $0.80 | $118.94 | $210.00 | |
United
| Professional | $86.25 | $153.30 | $241.90 |